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    <title>费用报销单</title>
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<body>
    <div class="box">
        <h4>费用报销单</h4>
        <div class="clearfix">
            <p class="p1">部门 <i></i></p>
            <p class="p2">年月日</p>
            <p class="p3">第页</p>
        </div>
        <table cellpadding="10" cellspacing="10">
            <tr>
                <td rowspan="2">科 . 目</td>
                <td rowspan="2">子&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;目</td>
                <td rowspan="2">摘&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;要</td>
                <td rowspan="2"></td>
                <td colspan="8">金&nbsp;&nbsp;&nbsp;&nbsp;额</td>
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                <td>十</td>
                <td>万</td>
                <td>千</td>
                <td>百</td>
                <td>十</td>
                <td>元</td>
                <td>角</td>
                <td>分</td>
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            </tr>
            <tr>
                <td colspan="12">
                    <p>合计金额（大写）</p>
                    <p>拾万仟佰拾元角分￥<input type="text"></p>
                </td>
            </tr>
        </table>
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